Individual
DR. SHARAREH SHOKOOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1316 JACKIE RD SE STE 200, RIO RANCHO, NM 87124-1045
(505) 994-9693
Mailing address
1316 JACKIE RD SE STE 200, RIO RANCHO, NM 87124-1045
(505) 994-9693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5461
NM
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-138
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/25/2021
Last updated
07/16/2024
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